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Agenda 09/22/2015 Item #16E 9 9/22/2015 16.E.9. EXECUTIVE SUMMARY Recommendation to renew the annual Certificate of Public Convenience and Necessity (COPCN) for Ambitrans Medical Transport, Inc. to provide Class 2 Advanced Life Support (ALS) inter- facility transport ambulance service for a period of one year. OBJECTIVE: To recommend the renewal of Ambitrans Class 2 ALS inter-facility transport services in Collier County by a private provider. CONSIDERATIONS: A COPCN may be approved routinely by the Board as provided by Section 50- 60 of the Collier County Code of Laws and Ordinances governing medical transportion services. Ambitrans intra-facility transport was granted an annual Certificate of Public Convenience and Necessity on October 24, 2011 by the Board. Ambitrans service start date was on or about January 6, 2011 in Collier County. Staff has deemed Ambitrans' renewal application as complete and recommends that the COPCN be renewed for one year. A Class 2 operator provides post-hospital inter-facility medical transfer services, both within and outside the County. Section 50-60 of the Code of Laws and Ordinances provides: Each certificate holder shall file within 90 days of expiration. an application for renewal of his certificate. Renewals shall be based upon the same standards, as the granting of the original certificate along with such other factors as may be relevant. The renewal application shall be accompanied by a $250.00 renewal fee. The renewal certificate may be approved routinely by the board, upon advice of the administrator, or the board may hold a hearing on same. These requirements have been met and the administrator recommends renewal. FISCAL IMPACT: There is no fiscal impact to the Board for the granting of this certificate. The Board is requested to accept and recognize as revenue in Fund (490) the $250.00 application fee with the corresponding application. GROWTH MANAGEMENT IMPACT: There are no Growth Management Impacts associated with this action. LEGAL CONSIDERATIONS: A hearing is not required for renewal. If a hearing is held, the Board must find that the standards set forth in Section 50-57 of the Code of Laws and Ordinances have been satisfied based on competent evidence as follows: (1) That there is a public necessity for the service. In making such determination,the Board of County Commissioners shall consider, as a minimum. the following factors: a. The extent to which the proposed service is needed to improve the overall emergency medical services (EMS) capabilities of the County. b. The effect of the proposed service on existing services with respect to quality of service and cost of service. c. The effect of the proposed service on the overall cost of EMS service in the county. Packet Page -1912- 9/22/2015 16.E.9. d. The effect of the proposed service on existing hospitals and other health care facilities. e. The effect of the proposed service on personnel of existing services and the availability of sufficient qualified personnel in the local area to adequately staff all existing services. (2) That the applicant has sufficient knowledge and experience to properly operate the proposed service. (3) That, if applicable,there is an adequate revenue base for the proposed service. (4) That the proposed service will have sufficient personnel and equipment to adequately cover the proposed service area. This item is approved as to form and legality and requires a majority vote for approval. —JAB RECOMMENDATION: That the Board awards a Class 2 Certificate of Public Convenience and Necessesity to Ambitrans Medical Transport, Inc. for a period of one year. Prepared by: Dan Summers, Director, Bureau of Emergency Services Attachments: Class 2 Renewal Permit Certificate Vehicle VIN Numbers Ambitrans Renewal Application Packet Page-1913- 9/22/2015 16.E.9. COLLIER COUNTY Board of County Commissioners Item Number: 16.16.E.16.E.9. Item Summary: This item requires that ex parte disclosure be provided by Commission members. Should a hearing be held on this item, all participants are required to be sworn in. Recommendation to renew the annual Certificate of Public Convenience and Necessity (COPCN) for Ambitrans Medical Transport, Inc. to provide Class 2 Advanced Life Support (ALS) inter- facility transport ambulance service for a period of one year. Meeting Date: 9/22/2015 Prepared By Name: HeinrichsbergKathy Title: Executive Secretary, Bureau of Emergency Services 9/2/2015 12:19:36 PM Submitted by Title: Executive Secretary, Bureau of Emergency Services Name: HeinrichsbergKathy 9/2/2015 12:19:37 PM Approved By Name: SummersDan Title: Division Director-Bureau of Emer Svc,Bureau of Emergency Services Date: 9/3/2015 8:38:12 AM Name: KopkaWalter Title: Chief-Emergency Medical Services, Administrative Services Department Date: 9/3/2015 2:40:58 PM Name: PriceLen Title: Department Head -Administrative Svc,Administrative Services Department Date: 9/3/2015 5:05:56 PM Name: BelpedioJennifer Title: Assistant County Attorney, CAO General Services Packet Page -1914- 9/22/2015 16.E.9. Date: 9/4/2015 3:21:14 PM Name: WellsLaura Title: Management/Budget Analyst, Senior, Office of Management&Budget Date: 9/8/2015 3:40:13 PM Name: KlatzkowJeff Title: County Attorney, Date: 9/9/2015 3:28:19 PM Name: CasalanguidaNick Title: Deputy County Manager, County Managers Office Date: 9/12/2015 2:10:14 PM Packet Page -1915- 9/22/2015 16.E.9. COLLIER COUNTY FLORIDA Renewal of Class"2" COPCN Name of Service: Ambitrans Medical Transport. Inc. Name of Owner: Michael and Lorraine Grant Principle Address of Service: 4351 Pinnacle Street, Charlotte Harbor, FL 33980 Business Telephone: (941) 743-3665 Description of Service: Intrafacility and out of county transport for Collier County Number of Ambulances: 25 Ground Units available. See Application for description of vehicles. This permit, as provided by Ordinance No. 2004-12, as amended, shall allow the above named Ambulance Service to operate intrafacility and out of county transports for a fee or charge for the following area(s): Collier County for one year from the date executed hereon, except that this permit may be revoked by the Board of County Commissioners of Collier County at any time the service named herein shall fail to comply with any local, state or federal laws or regulation application to the provisions of Emergency Medical Services. Issued and approved this day of , 2015 ATTEST: BOARD OF COUNTY COMMISSIONERS DWIGHT E. BROCK, CLERK COLLIER COUNTY, FLORIDA .Deputy Clerk Tim Nance, Chairman Approved as to form and legality: Jennifer A. Belpedio Assistant County Attorney CAA�� (I 5-EMG-003 6011 2 065 69/I] Packet Page -1916- 9/22/2015 16.E.9. a oa H2 g4 x x cn ff = 7C 70^ <v -3 � >� > a a a o co a o Po o ° r 0 tt En ti, (� Q a �. 0 c = w O< c 17, j C �i r, '.7 y g = a 4 ,..,c‘S w v- N < a �• gj f < a a . y ff g v, °, 5• Z " z 0. 2 r) " - ° a a CD CD s 0 w . r N .. a A CZ E. c f9 'a a n g c z i-3 y 9 ° O 0 ; -.44404t, Cr Cr O -3 n co t co ° — i , w n o a g o c 3 'V 1 x o 0 0 a Fi cr N < Oo t�7 C7 < n - = c c 4 n r Cr! a 0 0 n O cac * ti o -+Fr, _ ° = n ." C p. w ° O a :;, g o a w a 5. © a cr 5 � R ,..< p w Z Q g i 7 w C ' re N N n ? a CD Z r n ', = d -� �'0 ?. s N o o4 r21 r) N eD < C S 7' Y7 .< O n 7 n a w o Ft; h' a o Packet Page -1917- 9/22/2015 16.E.9. AMBITRANS MEDICAL TRANSPORT, INC. LIST OF VEHICLES LICENSED THROUGH THE FLORIDA DEPARTMENT OF HEALTH AUGUST 2015 VIN Type of License License Number Effective Date 1 1FDSS3ES7BDB27804 ALS 17026 12/8/2011 2 1FDSS3ES1BDB27801 ALS 17027 12/8/2011 3 1FDSS3ES5CDA18372 ALS --"• ..K 3/29/2012 4 1FDSS3ES6BDB36820 ALS 17356 8/3/2012 5 1FDSS3ESODDA41561 ALS --.E.-!6"-- 4/10/2013 6 1FDSS3ES7DDB06017 ALS sc.;'- 7/23/2013 7 1FDXE4FS9EDA75257 1 ALS _.__ 5/6/2014 8 1FDWE3FSXADA32546 ALS .1-- „ _ 7/11/2014 9 1FDWE3FS1ADA32547 ALS - „ _ — 7/31/2014 10 1FDWE3FS7ADA69148 ALS 7/31/2014 11 1FDWE3FS5ADA69150 ALS _ 7/31/2014 12 1FDWE3FS7BDA91166 ALS _ 3/10/2015 13 1FDWE3FS8BDA09607 j ALS , 3/10/2015 14 1 1FDWE35F92HA44797 BLS - 12/19/2007 1 , t Packet Page -1918- 9/22/2015 16.E.9. 15 1 FDSS3ES3BDA26145 BLS 4355 2/24/2011 16 1 FDSS3ES6BDA26138 B• LS 4475 3/29/2012 17 1FDSS3ES5ADA25626 B• LS 4677 8/1/2013 18 1 FDSS3ES6ADA31208 BLS 4678 8/1/2013 19 1FDSS3ES4BDA26137 BLS 4775 7/31/2014 20 1FDSS3ES8DDB02266 BLS 4776 7/31/2014 21 1FDSS3ES7BDB27799 B• LS 4777 7/31/2014 22 1 FDWE3FS6BDA87027 BLS 4C2', 3/10/2015 23 1 FDWE3FS3ADA32551 BLS 4827 3/10/2015 24 1FDSS3ES9EDA22265 BLS 3/10/2015 25 1 FDSS3ES3CDA18371 I BLS 4/8/2015 I I I Packet Page -1919- 9/22/2015 16.E.9. AMBITRANS MEDICAL TRANSPORT, INC. 2015 C Renewal Application Collier County, Florida Ambitrans Medical Transport, Inc., submits its 2015 Application for Renewal of its Certificate of Public Convenience and Necessity in and for Collier County, Florida. Packet Page -1920- 9/22/2015 16.E.9. Ambitrans Medical Transport, Inc. - Collier County COPCN Renewal Application Sec. 50-55 Procedure for obtaining certificate. An applicant for a certificate shall obtain forms from the department to be completed and returned to the division administrator. Each application shall contain: (1) The name, age and address of the owner of the ambulance or ALS provider, or if the owner is a corporation, then of the directors of the corporation and of all of the stockholders holding more than 25 percent of the outstanding shares. For governmental units, this information shall be supplied for members of the governing body. Corporate Officers/Directors Michael J. Grant, 66, 4351 Pinnacle Street, Charlotte Harbor, FL 33980 50% Lorraine B. Grant, 60, 4351 Pinnacle Street, Charlotte Harbor, FL 33980 50% Alan J. Skavroneck, 50, 4351 Pinnacle Street, Charlotte Harbor, FL 33980 0% Vanessa Grant Oliver, 34, 4351 Pinnacle Street, Charlotte Harbor, FL 33980 0% Packet Page -1921- 9/22/2015 16.E.9. Ambitrans Medical Transport, Inc. - Collier County COPCN Renewal Application (2) The boundaries of the territory desired to be served. Collier County, Florida Packet Page -1922- 9/22/2015 16.E.9. Ambitrans Medical Transport, Inc. - Collier County COPCN Renewal Application (3) The number and brief description of the ambulances or other vehicles the applicant will have available. Ambitrans currently has twenty-five (25) vehicles available to its fleet. These units are permitted with the Florida Department of Health - Bureau of EMS as Advanced Life Support and Basic Life Support vehicles. Through the use of the company's computer aided dispatch software, Zoll Data RescueNet Dispatch-Billing TM, management is able to staff according to anticipated demand. Staffing levels and patterns are determined using historical data and other internal statistics. Vehicles are posted in accordance with direction from our communications center personnel to specified areas to aid in proper deployment and call response. In the event of increased call volume, Ambitrans has the ability to schedule additional labor and resources to meet any unforeseen increase in market demand. A spreadsheet listing each ambulance in our fleet is attached hereto as Exhibit "A." Adook Packet Page -1923- 9/22/2015 16.E.9. Ambitrans Medical Transport, Inc. - Collier County COPCN Renewal Application (4) The address of the intended headquarters and any substations. Ambitrans corporate office is located at: 4351 Pinnacle Street, Port Charlotte, FL 33980 Our Collier County substation is located at: 2157 Pine Ridge Road, Naples, FL 34109 (former NCH ambulance station) 40 ., ,i» ",:ei: '..z:1:i i ,. ..,. I w : - . .. Our auxiliary substation to backup the Collier County operation is located at: 935 N.E. 7th Terrace, Cape Coral, FL 33909 Packet Page-1924- 9/22/2015 16.E.9. Ambitrans Medical Transport, Inc. - Collier County COPCN Renewal Application (5) The training and experience of the applicant. Ambitrans Medical Transport, Inc. was incorporated in 1983 to provide Paratransit services to the residents of Charlotte County. In 1988, ownership of the company transferred to its current principals. In 1995, Ambitrans commenced its ambulance operations. Today, Ambitrans operates in Charlotte, Collier, Lee and Sarasota counties. Ambitrans is compliant with Florida Statute 401 and Florida Administrative Code 64J in accordance with standards set forth by the Bureau of EMS and Department of Health as evidenced by the recent site inspection conducted by the Bureau. Our state license is valid through June 19, 2017. A copy of our state license is attached hereto as Exhibit "B." As noted on our enclosed organizational chart, the management team at Ambitrans collectively has over 200 years of experience in the EMS industry. We employ personnel who are specifically assigned to our Training and Quality Assurance Department. Patient care reports are reviewed for quality assurance and adherence to our medical protocols and standards of care. Our education team is also responsible for our in-house training, which includes CPR, Advanced Cardiac Life Support, Pediatric Advanced Life Support, Emergency Vehicles Operators Course and on-going continuing education units needed for bi-annual certification renewal. Ambitrans' experience is not limited to Southwest Florida; our Chief Operating Officer serves as the President for the Florida Ambulance Association as State Surgeon General appointee to the Emergency Medical Services Advisory Council. Dr. Daniel V. O'Leary serves as our medical director of record as mandated under Florida Statute 401.265. This is in addition to his normal day-to-day duties as an emergency room physician at Peace River Medical Center in Port Charlotte as well as serving as the Medical Director for Charlotte County Fire and EMS. Packet Page -1925- 9/22/2015 16.E.9. Ambitrans Medical Transport, Inc. - Collier County COPCN Renewal Application (6) The name and addresses of three Collier County residents who will act as references for the applicant. Patricia Davis 212 Napa Ridge Road East Naples, FL 34119 Representative Matt Hudson 3301 East Tamiami Trail Naples, FL 34112 Senator Garrett Richter 2320 Harrier Run Naples, FL 34105 Packet Page -1926- 9/22/2015 16.E.9. Ambitrans Medical Transport, Inc. - Collier County COPCN Renewal Application (7) A schedule of rates which the service intends to charge. Code service Description Rate A0428 Basic Life Support Base Rate $395.00 A0429 Basic Life Support Base Rate $425.00 A0426 Advanced Life Support Base Rate $395.00 A0427 Advanced Life Support Base Rate $500.00 A0433 Advanced Life Support Base Rate— Level 2 $725.00 A0434 Specialty Care Transport Base Rate $900.00 A0425 Per Loaded Mile $10.00 t E A0999 Oxygen $45.00 ii A0999 Drugs $10.00 - $25.00 IV Supplies $20.00 - I $25.00 Packet Page -1927- 9/22/2015 16.E.9. Ambitrans Medical Transport, Inc. - Collier County COPCN Renewal Application (8) Such other pertinent information as the administrator may require. No additional information was requested by the administrator at the time of submission. However, for your convenience, Ambitrans has attached hereto a copy of its Certificate of Insurance as Exhibit "C." Packet Page -1928- 9/22/2015 16.E.9. Ambitrans Medical Transport, Inc. - Collier County COPCN Renewal Application (9) An application or renewal fee of$250.00. (Exception Collier County EMS). Ambitrans' check in the amount of $250.00 is enclosed with this Renewal Application. Packet Page -1929- 9/22/2015 16.E.9. Ambitrans Medical Transport, Inc. - Collier County COPCN Renewal Application (10) Financial data including assets and liabilities of the operator. A schedule of all debts encumbering any equipment shall be included. Ambitrans' financial data is attached hereto as Exhibit "D." Packet Page-1930- 9/22/2015 16.E.9. Ambitrans Medical Transport, Inc. - Collier County COPCN Renewal Application Schedule of Exhibits Exhibit "A" List of Ambulances in Fleet Exhibit "B" State License Exhibit "C" Certificate of Insurance Exhibit "D" Financial Data Packet Page-1931- 9/22/2015 16.E.9. AMBITRANS MEDICAL TRANSPORT, INC. LIST OF VEHICLES LICENSED THROUGH THE FLORIDA DEPARTMENT OF HEALTH AUGUST 2015 VIN Type of License License Number Effective Date 1 1 FDSS3ES7BDB27804 ALS 17026 12/8/2011 2 1 FDSS3ES1 BDB27801 ALS 17027 12/8/2011 3 1FDSS3ES5CDA18372 ALS 17150 3/29/2012 4 1 FDSS3ES6BDB36820 ALS 17356 8/3/2012 5 1 FDSS3ESODDA41561 ALS 17867 4/10/2013 6 1 FDSS3ES7DDB06017 ALS 18017 7/23/2013 7 1FDXE4FS9EDA75257 ALS 18361 5/6/2014 8 1FDWE3FSXADA32546 ALS 18487 7/11/2014 9 1FDWE3FS1ADA32547 ALS 18534 7/31/2014 10 1FDWE3FS7ADA69148 ALS 18535 7/31/2014 11 1 FDW E3FS5ADA69150 ALS 18536 7/31/2014 12 1FDWE3FS7BDA91166 ALS 18895 3/10/2015 13 1FDWE3FS8BDA09607 ALS 18896 3/10/2015 14 1FDWE35F92HA44797 BLS 4133 12/19/2007 15 1 1 FDSS3ES3BDA26145 BLS 4355 2/24/2011 Packet Page -1932- 9/22/2015 16.E.9. 16 1FDSS3ES6BDA26138 BLS 4475 3/29/2012 17 1FDSS3ES5ADA25626 BLS 4677 8/1/2013 18 1FDSS3ES6ADA31208 BLS 4678 8/1/2013 19 1 FDSS3ES4BDA26137 BLS 4775 7/31/2014 20 1FDSS3ES8DDB02266 BLS 4776 7/31/2014 21 1 FDSS3ES7BDB27799 BLS 4777 7/31/2014 22 1 FDWE3FS6BDA87027 BLS 4821 3/10/2015 23 1FDWE3FS3ADA32551 BLS 4822 3/10/2015 24 1FDSS3ES9EDA22265 BLS 4823 3/10/2015 25 1FDSS3ES3CDA18371 BLS ' 4832 4/8/2015 Packet Page -1933- II0 9/22/2015 16 E 9 re) — c..) m = i•-■ el.) 6) 7;1 \ tt .-■ h N •^ L. = = •r: —o cv = \ ccli co 0 co ,—.. t•-:-i co CA 1".. 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Packet Page -1934- Client#: 16583 GRANTMED2 9/22/2015 16.E.9. ACORa. CERTIFICATE OF LIABILITY INSURANCE I 7/17/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED .01441k REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Bouchard Insurance(SAR) PHONE 941 922-0245 FAX 941 923-4126 (A/c,No,Ext): (A/C,No): 5310 Clark Road,Suite 1 E-MAIL ADDRESS: Sarasota, FL 34233 INSURER(S)AFFORDING COVERAGE NAIC# 941 922-0245 Arch Insurance Company 11150 INSURER A: p Y INSURED INSURER B Ambitrans Medical Transport,Inc. INSURER C: Grant Medical Transportation, Inc. INSURER D: 4351 Pinnacle Street INSURER E: Charlotte Harbor, FL 33980 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLS WUBR POLICY EFF POLICY EXP LIMITS LTR INSR VD POLICY NUMBER (MM/DDIYYYY) (MMIDDIYYYY) A GENERAL LIABILITY MAPK08386900 07/01/2015 07/01/2016 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY pAMAGFETO RENTED $10O 000 PREMIS S Ea occurrence) , I CLAIMS-MADE X OCCUR MED EXP(Any one person) $5,000 X Professional Liab MAPK08386900 07/01/2015 07/01/2016 PERSONAL&ADVINJURY $1,000,000 _ GENERAL AGGREGATE -$3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $3,000,000 POLICY PRO- LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A MAPK08386900 07/01/2015 07/01/2016 (Ea accident) $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X NON- WNED PROPERTY DAMAGE HIRED AUTOS X AUTOS O (Per accident) f$ A I x UMBRELLA LIAB X OCCUR I MAUM08509600 07/01/2015 07/01/2016 EACH OCCURRENCE $2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000 DED X RETENTION$None WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? I NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) **Supplemental Names** Ambulance Management Services, LLC Venice Ambulance Service, Inc. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION EVIDENCE OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN XXXXXXXXXXXXXXXXXXX ACCORDANCE WITH THE POLICY PROVISIONS. XXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX, AUTHORIZED REPRESENTATIVE , ,, ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 2 The ACORD name and lo Packet Page -1935-,f ACORD #S221810/M221766 SUSCA 9/22/2015 16.E.9. BRIAN W. CROSLAND, CPA, PL CERTIFIED PUBLIC ACCOUNTING & CONSULTING AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS KRIST'i L.SCOTT' AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS SHAWN M COOLEY,CPA MEDICAL GROUP MANAGEMENT ASSOCIATION COMMUNITY ASSOCIATIONS INSTITUTE INDEPENDENT ACCOUNTANTS' COMPILATION REPORT To the Board of Directors Ambitrans Medical Transport, Inc. Charlotte Harbor, Florida We have compiled the accompanying statement of assets and liabilities of the ambulance transportation operations of Ambitrans Medical Transport, Inc. and subsidiaries as of June 30, 2015. This financial statement has been prepared on the income basis of accounting utilized by the Company for federal income tax reporting purposes. We have not audited or reviewed the accompanying financial statement and, accordingly, do not express an opinion or provide any assurance about whether the financial statement is in accordance with the income tax basis of accounting. Management is responsible for the preparation and fair presentation of the financial statement in accordance with the income tax basis of accounting and for designing, implementing, and maintaining internal control relevant to the preparation and fair presentation of the financial statement. Our responsibility is to conduct the compilation in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. The objective of a compilation is to assist management in presenting financial information in the form of a financial statement without undertaking to obtain or provide any assurance that there are no material modifications that should be made to the financial statement. The accompanying statement was prepared for the purpose of presenting the assets and liabilities of the ambulance transportation operations of Ambitrans Medical Transport, Inc. and subsidiaries, and is not intended to be a complete presentation of Ambitrans Medical Transport, Inc. and subsidiaries consolidated assets and liabilities. Accordingly, this report and related financial a for 1. by known ,1,,,-,t parties *,ith knowledge of these restrictions statement is restricted ivr llSe viL.' and should not be used for any other purpose. August 1 1. 2015 Punta Gorda, Florida 201 W.!% ARIo' Avr:Nuc.Sum 1204 Pt vt.,Gottoa.FL 33950 Pi Rim::(941)629-1197 F:»:(941)205-5779 Packet Page -1936- 9/22/2015 16.E.9. Ambitrans Medical Transport, Inc. and Subsidiaries Statement of Assets and Liabilities of the Ambulance Transportation Operations Income Tax Basis of Accounting , June 30, 2015 (Unaudited) Assets Current Assets: Cash available for ambulance transportation operations $ 500,000 Property and Equipment: Office equipment and computers 91,036 Machinery and equipment 289,132 Medical transportation vehicles 1,507,496 1,887,664 Less accumulated depreciation (1,678,363) Property and Equipment, net 209,301 Total Assets $ 709,301 Liabilities Current Liabilities: Accrued profit sharing $ 120,540 Other liabilities 19,900 Notes payable to banks 140,357 280,797 Long Term Liabilities: Notes payable to banks 264,820 Less current portion above (140,357) 124,463 Total liabilities 405,260 Net Assets Over Liabilities, income tax basis $ 304,041 Read Independe� Packet MPage v1937-pilation Report